258565 05/10/16 (9.
CITY OF CARMEL, INDIANA VENDOR: 355549
ONE CIVIC SQUARE Y M C A CHECK AMOUNT: $*******192.60*
CARMEL, INDIANA 46032 615 N ALABAMA ST SUITE 200 CHECK NUMBER: 258565
INDIANAPOLIS IN 46204-1359 CHECK DATE: 05/10/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
301 5023990 152316 192.60 OTHER EXPENSES
VOUCHER NO. WARRANT NO.
ALLOWED 20
YMCA
615 N ALABAMA ST SUITE 200
IN SUM OF$
INDIANAPOLIS, IN 46204-1359
$192.60
ON ACCOUNT OF APPROPRIATION FOR
301 Medical Fund
PO#/Dept. INVOICE NO. I ACCT#/Fund AMOUNT Board Members
152316 I 50-239.90 I $192.60 1 hereby certify that the attached invoice(s), or
301 301
bill(s) is (are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Monday, May 09, 2016
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit,etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s)or bill(s))
04/10/16 I 152316 I I $192.60
301 301
I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
20
Clerk-Treasurer
rn
u 4/10/2016
YMCA of Greater Indianapolis
615 N Alabama St Suite 200
the Indianapolis IN 46204-1359 Invoice No.
(317)266-9622 fax: (317) 266-2845 152316
INVOICE
JBill to: City of Carmel 317-571-5850
Attn: J. Spelbring
Human Resources, 1 Civic Square
Carmel, IN 46032 t
YMCA membership fees for the month of
g March 2016
I
Name YMCA# Employee Employer Type Date of Birth Remarks
t
r Akers, Bill 15-23800 0.00 12.60 Adult HH (2) 03/26/1964
Brisco, Michael 15-36029 0.00 12.60 Adult HH (2) 04/16/1969
To
Carpenter, David 08-225343 0.00 12.60 Adult HH (2) 07/21/1979 y"
Decrastos, Richard 15.00 0.00 10.35 Adult(2) OnlyI aT
Dorsch, Jim 15-35796 0.00 12.60 Adult HH (2) 08/04/1969
Ellison, Chris 01-59211 0.00 12.60 Adult HH (2) 10/14/1974
Gates, John 15-739509 0.00 10.35 Adult(2) Only 07/01/1948 Clerk rel
Giles, Greg 15.00 0.00 10.50 Adult HH (1)
I
Gugel, Mark 15.00 0.00 12.60 Adult HH (2)
Klitzing, Michael 20-131827 0.00 12.60 Adult HH (2) 11/17/1970
McManama, Carol 12-119123 0.00 7.50 Senior Adult 08/09/1947
McNair, Harland 15-35476 0.00 12.60 Adult HH (2) 12/16/1971
Mowery, Susan 15-1194 0.00 7.65 Adult 04/21/1958
Ransford, Brett . 15-4888 0.00 12.60 Adult HH (2) 10/19/1963
F Reeves, Neil 15-608308 0.00 12.60 Adult HH (2) 06/11/1979
Schlaegel, Courtney 15-202628 0.00 7.65 Adult 06/15/1980
Watts, Trent 15-233187 0.00 12.60 Adult HH (2) 09/06/1972
Subtotals 0.00 192.60
4-
17 employees Total Due
Please remit to:
YMCA of Greater Indianapolis Terms: Net 30 days
615 N.Alabama Street
Indianapolis, IN 46204
Please note:Accounts more than 90 days in arrears will be
assessed a 10% late fee of the total amount due
Additions this period:
None
Cancellations this period:
None